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Overhead shot of pumpkin alfredo pasta with cranberry sauce and sausage in a jeweled pumpkin shell half

Ultimate Rich and Creamy Pumpkin Alfredo

This Ultimate Rich and Creamy Pumpkin Alfredo is the quintessential fall dish for entertaining. It has all the fall feels/tastes; warm, bright, beautiful and savory! One bite and you’ll wish autumn never ends.

Ultimate Rich and Creamy Pumpkin Alfredo with apple sausage and cranberries in jeweled pumpkin bowl

This is my recipe of love…is that weird? Maybe. I created this Ultimate Rich and Creamy Pumpkin Alfredo recipe eighteen years ago and immediately knew it was a keeper. Over the years a few ingredients have been altered making it even better… If you’re like me, you’ll bookmark this recipe for special guests every fall for years to come. Just wait and see each and every guest go raving mad (in love) with this pasta! It’s so creamy and rich, every bite feels indulgent, yet it settles well on the stomach! You can serve this pasta alone for a quick weeknight meal, or add your favorite meat and cranberries (and serve it in a beautiful dish… the pumpkin itself!)

Over head view of Ultimate Rich and Creamy Pumpkin Alfredo with apple sausage and cranberries in jeweled pumpkin bowl

What Kind Of Sausage Should I Use?

Originally, I served this recipe with a Wild Boar and Cranberry Sausage from Chateau Royal and it was delicious! Considering the sausage is seasonal and is a sold in specialty stores, such as my old Chicago go-to, Paulina Meat Market, I’ve made some adjustments. The recipe and pictures you see here are the readily available… You guessed it…. Aidell’s Chicken Apple Sausage and it pairs perfectly. With that said, if you can find these sausages made by Chateau Royal, they’re beyond delicious.

Close up of the Ultimate Rich and Creamy Pumpkin Alfredo with sage and cranberries

Is That A Jeweled Pumpkin Bowl?

Yes. Truthfully, I’m an artist at heart; and this jeweled pumpkin bowl is my favorite part of this entire meal. It’s also one of the few times I get to incorporate power tools with my cooking! Take the number of guests you’ll be serving this dish to, cut it in half and buy that many pie pumpkins. Cut the pumpkins in halves, (Dremel Hand Saws make magic of this task) and scoop out the insides (but save those brains and seeds for another recipe!). Next, with a power drill, drill (12) 1/4 inch holes evenly around the pumpkins edge and fill each space with ruby pomegranate seed. The final product is rather impressive, but be warned: the whole process takes some time and commitment. But the look on your guests faces will make it ALL worthwhile!

Fork full of Ultimate Rich and Creamy Pumpkin Alfredo with apple sausage and cranberries in jeweled pumpkin bowl

What’s the Best ‘Stuff’ to Serve This With?

Although this pasta is excellent alone, it is very rich. We suggest balancing it out with sausage, candied pumpkin, and our Quick Cranberry Sauce. The sausage adds the needed protein, the pumpkin adds some sweet texture, and the cranberries a little tartness. And don’t forget to top the plated pasta with a little extra parmesan and chopped sage.

Tips and Tricks For Making Ultimate Rich and Creamy Pumpkin Alfredo

  • I occasionally get a craving for this amazing pasta when it’s NOT pumpkin season – if you do too, try it this way! Instead of using nutmeg, I replace the spice with a Tikka Masala spice blend, switch sage for cilantro, and serve the alfredo with grilled shrimp! It might sound weird, but it’s a real winner!
  • Don’t throw out the insides of the pumpkin! The seeds and strands are delicious in their own right (btw… I had to look up the official name of pumpkin strands/brains/guts/goop, they’re called funiculus…)! Following this post, we’ll have complimentary posts on Roasted Coriander Pumpkin Seeds and Better Than Crumbl Pumpkin Cookies!
  • Are you looking for a great gluten free pasta? I am very loyal to the Divella brand, but their closest noodle to a Fettuccine in gf format is the Tagliatelle. For this Rich and Creamy Pumpkin Alfredo, I used a Linguine from Colavita. It held together very well, had a great texture, and great taste.
  • If you have the time, Pumpkin Alfredo Sauce is even better on day two. The flavors meld together over time, so don’t worry about making the sauce in advance!
Overhead place setting of pumpkin alfredo pasta with cranberry sauce and sausage in a jeweled pumpkin shell half

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Ultimate Rich and Creamy Pumpkin Alfredo, Served In a Jeweled Pumpkin

4.9 from 337 votes
Course: Pasta, Pumpkin, Sauces and Rubs, VegetablesCuisine: Italian, American


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  • Pumpkin Alfredo Sauce
  • 1 Lb 1 Package Fettuccine Noodles (GF)

  • 15 oz 15 Canned Pumpkin

  • 1/2 Cup 1/2 Water

  • 1 Cup 1 Heavy Whipping Cream

  • 1 Cup 1 Vidalia Onion- slivered

  • 1 Tbsp 1 Olive Oil

  • 4 Tbsp 4 Butter Salted

  • 1 Tbsp 1 Fresh Garlic- finely chopped

  • 1 tsp 1 Fresh Grated Ginger

  • 1+1/2 Cups 1+1/2 Fresh Shredded Parmesan

  • 2 tsp 2 Cornstarch

  • 2 Tbsp 2 Fresh Sage chopped

  • 3/4 Tbsp 3/4 Fresh Thyme

  • 2 Tbsp 2 Honey

  • 1 Tbsp 1 Brown Sugar

  • 3/4 tsp 3/4 Ground Cinnamon

  • 1 tsp 1 Himalayan Pink Salt (salt additionally to taste)

  • 1/4 tsp 1/4 Cayenne (Optional)

  • Candied Pumpkin (Optional)
  • 5 Cups 5 Pumpkin Cubed

  • 3 Tbsp 3 Olive Oil

  • 1 Tbsp 1 Granulated White Sugar

  • 1 tsp 1 Cinnamon Ground

  • 1/2 tsp 1/2 Ground Allspice

  • 1/2 tsp 1/2 Himalayan Pink Salt

  • 2 Tbsp 2 Maple Syrup

  • Quick Cranberry Sauce
  • 1 Bag 1 Fresh Cranberries

  • 1/4 Cup 1/4 White Granulated Sugar

  • 1/2 Cup 1/2 Water

  • Accompaniments
  • 12 oz 12 Aidell’s Apple Chicken Sausage

  • 1/3 Cup 1/3 Fresh Shredded Parmesan

  • 2 Tbsp 2 Fresh Slivered Sage


  • Pumpkin Alfredo Sauce
  • First, cook and rinse your fettuccine noodles, then set aside.
  • Pan fry or bake the Aidells Chicken Apple Sausages (in Accompaniments), again set aside.
  • While your noodles and sausages are cooking, get your cranberries started. See Below Quick Cranberry Sauce. In a large saute pan on medium/low heat, add the Butter and Olive Oil.
  • Once the Butter is melted, add the slivered Vidalia Onions and saute until the onions are softened and start to carmelize, about 9 minutes.
  • Add the Garlic and Ginger and cook for another minute.
  • Next, combine the Canned Pumpkin and water (to thin the sauce), along with the Sage, Honey, Brown Sugar, Cayenne (optional) and carefully stir in.
  • Simmer for 4-5 minutes, then add the Heavy Cream mixed with the Cornstarch. And bring to a simmer.
  • Gently fold in the Parmesan Cheese and add the Salt.
  • Fold in the Fettucini noodles and cook on low to heat the pasta through for 1 minute.
  • Plate the pasta with the accompaniments: Fresh Slivered Sage, Parmesan, Quick Cranberry Sauce, Candied Pumpkin (Optional), and Browned Aidells Chicken Apple Sausages.
  • ENJOY!
  • Candied Pumpkin (Optional)
  • Preheat the oven to 400°F.
  • In a large mixing bowl, combine all ingredients.
  • Mix thoroughly and spread evenly on a parchment lined baking sheet.
  • Bake for the first 15 minutes, then toss carefully with maple syrup.
  • Bake for an additional 10-15 minutes, or until the pumpkin cubes just start to carmelize.
  • Remove from the oven and let the pumpkin cool for 10 minutes before serving.
  • Quick Cranberry Sauce
  • In a strainer or colander, rinse and place your cranberries in a small pot.
  • Add the water to the pot and cover.
  • Cook on medium high for approximately 5 minutes or until the cranberries have “POPPED” and are “al dente”.
  • Mix in the 1/4 Cup of sugar (more to taste) and immediately remove from the pot from heat. Set aside to garnish and serve with the Pumpkin Alfredo.

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  1. Amazing Recipes, Thanks!

  2. Marshal

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  4. leighton

  5. Supergirl

  6. Estela C

    Absolutely amazing!!!

  7. Diego F

    So good, I think I’ll make it again around Thanksgiving! Love this recipe!

  8. Company goes wild over this

  9. This is easier to make than it sounds and is excellent. Pumpkin is so healthy for you. I used the Splenda brown sugar and no sugar maple syrup.

  10. This is easier to make than it sounds and is excellent. Pumpkin is so healthy for you. Can use the Splenda brown sugar.

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